Section 695D.520 - Notices: Right of member to file complaint; denial of coverage; clear and comprehensible language1. Following approval by the Commissioner, each organization that issues a policy in this State shall provide written notice to a member, in clear and comprehensible language that is understandable to an ordinary layperson, explaining the right of the member to file a written complaint. Such notice must be provided to a member:(a) At the time he or she receives the policy;(b) Any time that the organization denies coverage of a service or limits coverage of a service to a member; and(c) Any other time deemed necessary by the Commissioner.2. Any time that an organization denies coverage of a service to a member, it shall notify the member in writing of: (a) The reasons for denying the coverage of the service;(b) The criteria by which the organization determines whether to authorize or deny coverage of the service; and(c) The right to file a written complaint.3. A written notice which is approved by the Commissioner shall be deemed to be in clear and comprehensible language that is understandable to an ordinary layperson.Nev. Admin. Code § 695D.520
Added to NAC by Comm'r of Insurance by R132-98, eff. 3-30-99